| Greater Canton Psychiatry, Llc | |
|
4773 Higbee Ave Nw Canton OH 44718-2551 | |
| (330) 492-6500 | |
| (330) 492-6502 |
| Full Name | Greater Canton Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4773 Higbee Ave Nw, Canton, Ohio |
| Authorized Official Name and Position | John Vraciu (PSYCHIATRIST) |
| Authorized Official Contact | 3304926500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Canton Psychiatry, Llc 4773 Higbee Ave Nw Canton OH 44718-2551 Ph: (330) 492-6500 | Greater Canton Psychiatry, Llc 4773 Higbee Ave Nw Canton OH 44718-2551 Ph: (330) 492-6500 |
| NPI Number | 1528474459 |
|---|---|
| Provider Enumeration Date | 07/11/2014 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Medicare PECOS PAC ID | 5991036477 |
|---|---|
| Medicare Enrollment ID | O20191015000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528474459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Heidi R Vraciu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144328105 PECOS PAC ID: 4688671654 Enrollment ID: I20061106000047 |
| Provider Name | Kristin Hiltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689006892 PECOS PAC ID: 5890922983 Enrollment ID: I20131217001023 |
| Provider Name | John Michael Vraciu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962638239 PECOS PAC ID: 9931428489 Enrollment ID: I20191015000808 |
| Provider Name | Sherin Ilene Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639804990 PECOS PAC ID: 4688041817 Enrollment ID: I20221101001703 |
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